Individual
MOLLY JACOBSEN HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
3432 W DIVERSEY AVE FL 2, CHICAGO, IL 60647-1221
(773) 609-4076
Mailing address
3432 W DIVERSEY AVE FL 2, CHICAGO, IL 60647-1221
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
IL
Other
Enumeration date
08/07/2026
Last updated
08/07/2026
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